General Misconduct Form

General Misconduct Form
This form aims to gather information on events, interactions, and issues of concern related to campus safety, security, student or employee behavior, and health. After submitting this form, the DigiPen (Singapore) Student Life and Advising (SLA) Counselor will contact you for a follow-up within one to two working days. If you are unsure, please email studentlife.sg@digipen.edu, and the Counselor will contact you as soon as possible.

Full Name Full Name * First Last
First name is your given name. The last name is your family/surname.
DigiPen (Singapore) Degree Program

If you are a DigiPen (Singapore) student, please indicate your degree program.
SIT Student ID

If you are an SIT or DigiPen (Singapore) student, please provide your SIT student ID.
DigiPen Email Address

If you are a DigiPen (Singapore) student, please provide your DigiPen email.
SIT Email Address or Personal Email Address *

Please provide an alternative email address for us to contact you.
Mobile number *

Please provide your mobile number so that we can contact you for follow-up.
Date of the incident Date of the incident * / DD / MM YYYY
Time of the incident Time of the incident * : HH MM
Location of the incident *
Name of the student(s) and/or staff/faculty involved in the incident *
Provide a clear and detailed account of the incident *
Supporting evidence *

Attach Files

Please attach documentary evidence including any other person who can corroborate your description of the incident.
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.